KISACO RESEARCH Revolutionizing Healthcare Payment Integrity with AI Download Report In the ever-evolving landscape of healthcare payment integrity, a new approach is emerging that promises to revolutionize how we detect and prevent fraud, waste, and abuse (FWA). Our latest report, … Read More
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NAMPI 2024: Provider-Centric FWA Prevention
NAMPI 2024 Breakout session Provider-Centric FWA Prevention: The Value of Seeing Every Behavior, Pattern, Outlier & Relationship in Near Real-Time Watch on youtube Medicaid Program Integrity depends on having a continuous in-depth understanding of provider behaviors, patterns, outliers, and relationships … Read More
4L Data Intelligence Featured in The Self-Insurer Magazine
The Self-Insurer Magazine Combating Sophisticated Healthcare Fraud Schemes: Lessons for Self-Insured Health Plans Read Article 4L Data Intelligence, a leader in healthcare fraud prevention technology, is proud to announce that our Senior Fraud Advisor, Greg Lyon, has authored a featured … Read More
Educational Webinar in NHCAA’s Virtual Training Program
LIVE WEBINAR 4L Data Intelligence Delivers Educational Webinar on Early Detection of Provider Collusion Schemes in NHCAA’s Virtual Training Program Watch NOW We’re pleased to announce that 4L Data Intelligence recently participated as a partner speaker in a webinar hosted … Read More
Stopping the Tsunami of Telehealth Fraud, Waste and Abuse
By Theja Birur Surfers talk a lot about sets, groups of waves that keep coming one behind the other. While that may be a surfer’s dream, the continuous cadence of telehealth fraud, waste and abuse stories is looking more like … Read More
Study Showed 10% Of Workers Comp Claims Paid Were Fraudulent
A 2021 4L Data Intelligence analysis of over four (4) million workers compensation claims paid showed that 19,612 providers out of a network of 86,000 submitted fraudulent claims totaling about 10% of all claims paid during the prior year. This … Read More
Stopping The Catheter Fraud Scheme
case study – GREG LYON Unmasking a $2 Billion Catheter Fraud Scheme: Lessons for Healthcare Payers Greg is a recognized anti-fraud expert with experience in Financial Services and Healthcare Payments that includes serving as Director of Fraud Prevention at United … Read More
Adopting AI Combats FWA And Overpayments
Lately, it seems like everyone is either excited or worried about artificial intelligence (AI). Programs like ChatGPT are seemingly able to replicate human writing and speech patterns and can create new bodies of text based on simple (or not-so-simple) prompts. … Read More
4L Data Panel: Improving Payer and Provider Value Using AI
SAN RAMON, Calif. – Oct. 23, 2023 – 4L Data Intelligence™, the leader in patented AI-powered contextual claims analysis for fraud, waste, and abuse (FWA) prevention in healthcare, today announced it’s hosting a panel discussion titled “Improving Payer and Provider Value … Read More
4L Data Intelligence and NHCAA Webinar: AI-Powered Fraud Prevention
4L Data Intelligence Announces Webinar with NHCAA on The Preventive Power of Contextual Claims Analysis: Real-time AI powered provider behavior analysis for pre-payment FWA excessive and overpayment prevention SAN RAMON, CA – June 21, 2023 – 4L Data Intelligence™, a … Read More
Revolutionizing Hospice Care
Leveraging AI to provide hospice organizations with continuous, automated predictive analyses of their financial and operational health SAN RAMON, CALIFORNIA – August 1, 2023 – 4L Data Intelligence™ , a leading provider of patented AI-powered solutions for the healthcare industry, … Read More
4L Data Intelligence Helps Find More Fraud Faster at NHCAA
SAN RAMON, Calif. ‐ Nov. 6, 2023 ‐ 4L Data Intelligence™, the leader in patented AI-powered contextual claims analysis for fraud, waste, and abuse (FWA) prevention in healthcare, is hosting a panel titled “The Preventive Power Of Contextual Claims Analysis ‐ … Read More
FWA Is Increasing. Healthcare Costs Are Spiraling.
Theja Birur, Chief Technology Officer & Founder, 4L Data Intelligence In 2020, the Department of Justice estimated that fraudulent, wasteful, and abusive (FWA) billing practices account for more than $100 billion of the nation’s healthcare expenditures.1 Today, the National Healthcare Anti-Fraud … Read More
Fighting Fraud, Waste, and Abuse in Digital Healthcare
Clay Wilemon, ceo at 4L Data Intelligence speaks about the ways that the healthcare industry is tackling the problems with fraud in digital healthcare. Clay Wilemon, chief executive officer at 4L Data Intelligence, spoke with Medical Device & Technology about … Read More
Adopting AI Combats Fraud, Waste and Abuse
Briana Contreras, an editor with Managed Healthcare Executive, had a chat with Clay Wilemon, CEO of 4L Data Intelligence, in this month’s episode of Tuning In to the C-Suite. The discussion was on the subject of fraud, waste, and abuse … Read More
